What effects of an altered pituitary secretion in a child with meningitis indicates syndrome of inappropriate antidiuretic hormone (SIADH)? (Select all that apply.)
a. Hypotension
b. Serum sodium is decreased
c. Urinary output is decreased
d. Evidence of overhydration
e. Urine specific gravity is increased
ANS: B, C, D, E
The serum sodium is decreased, urinary output is decreased, evidence of overhydration is present, and urine specific gravity is increased in SIADH. Hypertension, not hypotension, occurs.
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